0001127602-17-018203.txt : 20170516 0001127602-17-018203.hdr.sgml : 20170516 20170516112916 ACCESSION NUMBER: 0001127602-17-018203 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170515 FILED AS OF DATE: 20170516 DATE AS OF CHANGE: 20170516 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FIRST MID ILLINOIS BANCSHARES INC CENTRAL INDEX KEY: 0000700565 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] IRS NUMBER: 371103704 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1515 CHARLESTON AVE STREET 2: PO BOX 499 CITY: MATTOON STATE: IL ZIP: 61938 BUSINESS PHONE: 2172347454 MAIL ADDRESS: STREET 1: 1515 CHARLESTON AVENUE STREET 2: PO BOX 499 CITY: MATTOON STATE: IL ZIP: 61938 FORMER COMPANY: FORMER CONFORMED NAME: FIRST-MID ILLINOIS BANCSHARES INC DATE OF NAME CHANGE: 19920703 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: McRae Eric S CENTRAL INDEX KEY: 0001452494 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36434 FILM NUMBER: 17847603 MAIL ADDRESS: STREET 1: 266 COBB AVE CITY: DECATUR STATE: IL ZIP: 62522 4 1 form4.xml PRIMARY DOCUMENT X0306 4 2017-05-15 0000700565 FIRST MID ILLINOIS BANCSHARES INC FMBH 0001452494 McRae Eric S 1421 CHARLESTON AVE MATTOON IL 61938 1 Executive Vice President Common Stock 2017-05-15 4 A 0 71.918 34.05 A 3326.476 I By Deferred Compensation Plan Common Stock 10937.594 D Common Stock 3358.219 I By 401k Plan Common Stock 2302.5973 I By Ira /s/ Michael L. Taylor, attorney-in-fact for Mr. McRae 2017-05-16